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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
~ rV"~r If17.~{ COUNTY, PENNSYLVANIA
Date of Death:
Date Letters Granted: A prz.: I '2..-\ , 2 DO 8
SI. Z+/fb-e'R /VlAG lW~ty,k.
Name of Decedent:
File Number: rJoo 8 - OJ 61')..,
To the Register:
I certify that Notice of Estate Administration required by Pa. O.c. Rule 5.6(a) of the Orphans' Court
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
P\-pt2, \ 2\ 2ov'Z5
Name:
cy.r~al ,17AGtV \A' k
J )
P~fV\.. I) A-(.'lUA k
(1 ~J Dt~ 5M le..e-
Address:
d~1- 2.,".) Ge.",,;.';'. Thlv'<'- 1-\.\\sbi).l,..../\I'I/V\f..tJ(~87b
937 l-\tc}!net ~Jff Q,>cJe M.ltCIl-J t-I:r cjg3~70
1219 BlooM 12J. Ufill-"Ihl-L( PfI ,/921
(If more space is needed, attach separate sheet.)
Notice has now been given to all persons entitled thereto under Pa. O.c. Rule 5.6(a) except:
Date L\ \ '2-\ \ 016
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Signature of Person Filing this Form
Vd
I ,'Y"J
ltJnO::rS,Nv~f~dto I
:10 )11:l:17j '"'
Capacity: 121 Personal Representative 0 Counsel
~6~ r (V1eAJ<;vX
Name of Person Filing this ~orm V) I
aG di CJi\.~pe~VLA7'^ K.A
Address /J
f\J.eDlt4JJ'c~ ~/d r A 17 iA";o
r;/ 7 - '73'2-- /7':J-tJ
Telephone
S2 : I I4d 62 tJdV enoz
,','..... t .....
~()!Foy,;l1~W:~ rev: 10.J3.06
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